Avotec - Reorder Form

If you are a new customer before you order from us, please PRINT out a New Account Application Form fill in the required information and fax it to (772) 692-0788.

To order online fill out the form below and click on the submit button and an e-mail will be sent to us or if you prefer to fax your order PRINT out a blank Reorder Form.

Your Name:
Organization:
Bill to Address:
City & State:
Zip & Country:
Phone:
Fax:
E-Mail:
Purchase Order #:
Ship to Address:
City & State:
Zip & Country:
Full Coverage Headset Covers Quantity -- 1000 each package Part Number 962100 Stethoscopic Ear Tips Quantity -- 1000 each package Part Number 961100 Silent Scan Systems 2000/2100 (Console has a Black Label) Full Coverage Headset Quantity -- each Part Number 723200 Stethoscopic Headset Quantity -- each Part Number 723300 Headset to Transducer Tubing Quantity -- each Part Number 723100 Silent Scan Systems 3000/3100 (Console has a Blue Label) Full Coverage Headset Quantity -- each Part Number 723203 Stethoscopic Headset Quantity -- each Part Number 723302 Headset to Transducer Tubing Quantity -- each Part Number 723102
Thank you for your order!

We accept credit cards, please contact us for a credit card authorization form.

Avotec, Inc.
603 N. W. Buck Hendry Way
Stuart, FL USA 34994
Telephone (772) 692-0750 Fax (772) 692-0788
avotec@avotecinc.com
www.avotecinc.com